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Colorado rates for HCPCS 97153

Adaptive behavior treatment by protocol, administered by technician under the direction of a physician or other qualified health care professional, face-to-face with one patient, each 15 minutes

Facilitymedian $32 · 10th–90th $32–$1260%50%90th$32Professionalmedian $15 · 10th–90th $13–$4370%20%40%10th90th$15$10.0$20.0$50.0$100.0$200.0$500.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$31.62 / $31.62 / $125.89
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $15.14 / $467.74
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $15.14 / $20.89
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $16.60 / $40.74
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$77.62 / $77.62 / $77.62
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.42 / $29.51 / $35.48
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.59 / $14.13 / $16.60
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $37.15 / $60.26